AORN journal
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Practice Guideline Guideline
Recommended practices for managing the patient receiving moderate sedation/analgesia.
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Approximately 1.3 to 1.8 million people are incarcerated in the United States at any given time. When providing emergency or elective surgical intervention, perioperative nurses may encounter incarcerated individuals, including many who require treatment for traumatic injury. ⋯ This article explores key concepts involved in caring for incarcerated individuals, including their characteristics and assumptions others make about them. The article concludes with a discussion of educational and policy implications.
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Health care providers today often can choose between reprocessed single-use devices (SUDs) or SUDs from original equipment manufacturers. The concern about whether reprocessing is safe and should continue was reflected in the US Food and Drug Administration's draft regulations regarding reprocessing and reuse of SUDs; the Government Accounting Office study on SUDs; legislation introduced at both the federal and state levels; and Congressional hearings by the US House of Representatives and the US Senate. This article offers a review of these activities.
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The Joint Commission on Accreditation of Healthcare Organizations' sedation standards detail the differences between sedation and anesthesia. These standards, however, note that it is important that those applying sedation be trained to rescue patients who may slip from moderate sedation into deep sedation or from deep sedation into anesthesia.